89-1731 WNITE - CiTV CLERK
PINK - FINANCE COUIICll
GANARV - OEPARTMENT G I TY F SA I NT PAU L File NO• � � /
BLUE - MAVOR
. ou cil Resolution � �-;~�
Presented By
�.�� � _� ,
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #38128) for a Massage Therapist License
by Daniel A. Goo an DBA Grand Tan at 80 No. Snelling Avenue,
be and the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� Favor
�esrwa
Rettman (� B
Sc6eibel ga i n s t Y
Sonnen
Wilson
JCP � �989 Form Ap roved by City A orney
Adopted by Council: Date • �. �/��
Certified P�s by Counc' - e BY
By
Approv d y 1�avor ate �E� 2 � �89 Approved by Mayor for Submission to Council
B � ; � �'�_ BY
p�et�� 0 C T 1989
, e c�- Sg-i��l
DEPARTM[NT/OFFlCE/COUNqL TE INITIATED
Fi nance/�i cense GREEN SHEET No. 5�2 8
CONTACT PERSON 6 PFIONE INITIAU DATE INITIAUDATE
[]DEPARTMENT DIRECTOR CITY COUNpL
Kri s VanHorn/298-5056 � [1]cm�rroAr,ev �cirv c�.e�c
MUST 8E ON COUNGI AOENDA BY(DATE) �BUDGET DIRECTOR �FIN.8 MOT.SERVI�S DIR.
�MAYOR(OR A3818TAN11 � �n��n�7�
TOTAL A�OF 816NATURE PAGE8 ( LIP ALL LOCATIONS FOR SIONATUR�
ACTION HEOUE8 D:
Application for a Massa e herapist License.
Notification Date: Hearin Date:
RECOMMENDATIONS:Approw(A)a Rsle�(� NCIL 1�H AEPORT OPTIONAL
_PUWNINO COMMI8SION _CIVIL 8ERV1�OOMMI � PMONE NO.
•
_dB oowaYxrree —
_STAFF _
MENTS:
_aBTRICT COURT _
SUPPORTS WHICH OOUNCII OBJECTIVE7
INITIATINO Pf�BLEM.ISSUE.OPPORTUNITY(Who.NIMt�Whsn�
Daniel A. Goodman DBA Gr nd Tan requests Council approval of his
application for a Massag T erapist License at 80 No. Snelling Avenue.
All fees and application h ve been submitted. All required
departments have reviewe a d approved this app1ication.
ADVANTA(iE81F APP90VED:
I
DIBADVANTA(iE8 IF APPHOYED:
I
DISADVANTACiE6 IF NOT APPROVED:
•t
.t`�:.';;:.; � `�','���
:j �-t�.����, c� Center
S'�P 12 'i��9
TOTAL AMOUNT OF TRANSACTION a C08T/!ffiVENUE dUOtiETED(CIRCLE ONE) YES NO
FUNDING SOUI�E ACTIVITY NUMBER
FlNANCIAL INFORMATION:(EXPWN)
. . � �`�" �73�
DiVISION OF I.ICENSE AND PERMIT MIIVISTRATION DATE �� /�4�
INTERDF.PARThiENTAL REVIEW GHECKL ST A.ppn Processed/Received by
Lic Enf Aud
Applicaut �� Home Acldress a(,Q5 3 �-}� �y`4� I�,�IC
Bus ine s s IQame � Home Phone �.�i`f -a�� 3
�
Business Address � . Type of License(s) mt}-�s�q�_ , �,,u,;����
�3usiness Phone �"j- 5 '�
Public Hearing Date License I.D. 4� 3 g�a�
at 9:OQ a.m. in the Coun il Chau ers,
3rd floor City Hall and Courtho e State Tax I.D. �� a�5c�g
llate Notice SPnt; Dealer �( � �(�-
to Applicant � �i �
Pederal Firearms �6 � }/}�
Public He�.iring
DATE INSPECTIUN
REVL�,W VERFI B (COMPUTER) CUMMENTS
A prove Not A roved
Bldg I & D I
�� �� �
��
Health Divn. �
, � 1 � ' �, �
�
Fire Dept. � � _
, � I G -
� �
� �
Yolice Dept. �I I
io �-(�
License Divn. �
g) �3 �
r �
City Attorney �
� la� , ��
Date Received•
Site Plan �
To Council Research q � (�� �f�
Lease or Letter Date
from Landlord (k
, � . _ c�.r- 8`�- i�3/
CITY OF S'i. PAUL
DEPARTMENT OF FINANCE AND MANAGEI�NT SERVICLS
L CENSE AND PERMIT DIVISION
Please answer a11 questions fully d completely. This application is thoroughly checked.
Any falsification will be cause fo denial. n
Date I�'� 19 ��
1. Application for i1�OL.S�'�Gl �1Qr�^ (S'� � icense)(Permit)
,
2. Name of applicant ^ �1� C' � "�=�U ����^J
3. If applicant is/has been a max 'ed female, list maiden name �
4. Date of birth � �'�-<<���Age Place of birth 57• i�t� �
5. Are you a citizen of the United States�-17� Native Naturalized
,_C�._
6. Are you a registered voter � Where ���C'i IlC
7. Home Address �c 5 � '�U- i � �- Home Telephone ���� ', ���
8. Present business address �� Business Telephone
9. Including your present business employment, what business/employ:nent have you
followed for the past five year .
Business/emplo;�ent, Address
�e�c-t �� �- c� � � -Fe, l�P. _ �s�� �� ,�t�5��(�. S i- Pa� l
— - l �� S� � � � �,�,���5 �� ��,���� Jlti-�cl1�tiL,.,�
` ��J'� ��� Q✓ 1 � ( . � � �� ) �--- _--'-- "L- �j� -
�
10. Married L t 5 if answer is "yes", list na.me and address of spouse �C�'xf'�` K�_T����
—.�— �,�
11. If this application is for a M as age Therapist License, list time so occupied.
L� �� ,� Ye�.s Months.
12. Have you ever been arrested ,() If answer is "yes", list dates of arrests, where,
charges convictions and sentence .
Date of axrest 19 ere
Charge
Conviction Sentence
Date of arrest 19 �ere ___-
Charge
Conviction Sentence
, . , C-�' �-/7�/
13. Give ^.ames a.^.d ad�.resses of ���ro persons, residents of St. ?aui, i�?innesota ��rho can
give in_'or�s�ion concernin� you
�T� �,DDRESS
� �,� � �' � c�c�,tc1 " `1`.��; S-�-�. ,� rd ���� �i r`'��v I
, �,.;:v�l�5 �t r L�.�f-e r .^
�v�� �{!%l.:'1;�? � /'U �� S ` �'1''t� s�%f'�-" � l v �.l� ��'f�
State of ;dinnesota ) �
��e� :n �T �a��
� J.7
Count;� o i :a.�ns ey )
•�
�� ._;�•� _ ��'�`�'�� ',��%� ;� being first 3uly sworn, 3eposes and says ���on oath
that :e :=as read t:^.e foregoir_g state er.t bear�ng his signatUre and knows t:^.e contents
t�!ereof, and that t;:e sa�.e is true o his own knowledge except as to �hose �natyers
therein stated upor. informatior. and elief and as �o thcse matters he believes �he�
to oe true.
Subscribe3 ar.� s�.%orn to beior° me ����� /?` �� ��'�i�`��
Signat�e oi Appl��ar.t
t:��s �'� cay of ��• :i 19 ��'
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^dotarf �UD�_C �y\s�€s�f Ccunt�r, •:�i=nnes a �
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KRISTINA L VAN H
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DAKOTA COUNTY
MY Commission Expires lan :
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